Psychological safety – A systematic review of the literature

This study systematically reviewed the evidence of Psychological Safety (PS) up to 2015. 83 studies were included. Most studies evaluated PS at the team-level, rather than individual or org., where PS is likely “more potent and meaningful at the team level” (p.4). Most antecedents of PS can be grouped under the umbrella of supportive environments:… Continue reading Psychological safety – A systematic review of the literature

Organizational Injury Rate Underreporting: The Moderating Effect of Organizational Safety Climate

One of many studies from Tahira Probst and colleagues on injury underreporting. This study explored underreporting in the context of US construction and the relationship to organisational safety climate. Data from 1,390 employees across 38 companies were included. Results As confirmed by this study and previous work – the rate of injuries experienced by workers… Continue reading Organizational Injury Rate Underreporting: The Moderating Effect of Organizational Safety Climate

The social aspects of safety management: Trust and safety climate

ABSTRACT This study tested the contribution of trust between leaders and subordinates to safety. It is suggested that leaders who create a relationship of trust with their subordinates are more likely to create a safe working environment, and to achieve higher and stronger safety-climate perceptions among their subordinates. Hence, trust should be negatively related to… Continue reading The social aspects of safety management: Trust and safety climate

Walkrounds in Practice – Corrupting or Enhancing a Quality Improvement Intervention – A Qualitative Study

This explored the practice of walkarounds in the English NHS and how they have been implemented in practice and adapted to suit particular contexts and goals. Data is via semi-structured interviews with 82 staff. First, they cover background on walkarounds and use in healthcare. The intended benefit is to “bring together the “sharp end” of… Continue reading Walkrounds in Practice – Corrupting or Enhancing a Quality Improvement Intervention – A Qualitative Study

Just culture’s ‘‘line in the sand” is a shifting one; an empirical investigation of culpability determination

This surveyed 3136 aviation maintenance personnel from one company to judge the appropriate level of discipline in 3 incident scenarios. Five pieces of ‘‘mitigating” contextual information were presented per scenario and the participants given an opportunity to re-assess their judgement of culpability/discipline. First, the issues with Just Culture (JC) processes were highlighted. Including the fallacy… Continue reading Just culture’s ‘‘line in the sand” is a shifting one; an empirical investigation of culpability determination

Lies, damned lies, and incident statistics

Incident data is frequently used in organisations for reporting on current and historical performance and for evaluating risk exposure (in a sense). I think it’s often seen as fairly representative of reality, although I think most accept that not all events are reported. But how coupled to reality is incident data according to published evidence?… Continue reading Lies, damned lies, and incident statistics

Are we missing the near misses in the OR?—underreporting of safety incidents in pediatric surgery

ABSTRACT Background Electronic hospital variance reporting systems used to report near misses and adverse events are plagued by underreporting. The purpose of this study is to prospectively evaluate directly observed variances that occur in our pediatric operating room and to correlate these with the two established variance reporting systems in our hospital. Materials and methods… Continue reading Are we missing the near misses in the OR?—underreporting of safety incidents in pediatric surgery

Low-voltage electrical accidents, immediate reactions and acute health care associated with self-reported general health 4 years later

Abstract Background and aims Electricians frequently experience low-voltage electrical accidents. Some such accidents involve long-term negative health consequences. Early identification of victims at risk for long-term injury may improve acute medical treatment and long-term follow-up. This study aimed to determine acute exposure, health effects and treatment associated with general health ≥ 2 years after low-voltage electrical… Continue reading Low-voltage electrical accidents, immediate reactions and acute health care associated with self-reported general health 4 years later

Safety management by walking around (SMBWA): A safety intervention program based on both peer and manager participation

This describes a three-year case study of the implementation and outcomes of a Safety Management by Walking Around (SMBWA) program. The program, involving leaders and workers regularly walking the line and engaging within their departments and cross-departmental were then integrated into an IT system for collection, analysis and distribution. Walk arounds can more generally “build… Continue reading Safety management by walking around (SMBWA): A safety intervention program based on both peer and manager participation

How Work Intensification Relates to Organization-Level Safety Performance: The Mediating Roles of Safety Climate, Safety Motivation, and Safety Knowledge

This studied the effects of work intensification (WI) on safety performance and mediating factors by surveying 122 people from high-accident companies. WI is different to time pressure. Whereas time pressure reflects high quantitative workload at a specific point in time, WI “refers to increasing levels of quantitative workload over time. In other words, work intensification… Continue reading How Work Intensification Relates to Organization-Level Safety Performance: The Mediating Roles of Safety Climate, Safety Motivation, and Safety Knowledge